OrganizationActive
Walgreens
NPI 1588048672 · Community/Retail Pharmacy · Portage, MI
Provider details
- NPI number
- 1588048672
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Robert Ersberger, District Manager(269) 271-7365
- License
- 5302042983 (MI)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5933 S Westnedge Ave
Portage, MI 49002-1455
Phone: (269) 381-4862
Street-level locationGet directions
Mailing address
5933 S Westnedge Ave
Portage, MI 49002-1455
Registry dates
- Enumerated
- 2015-07-17
- Last updated
- 2015-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.